| NPI | 1912270869 |
|---|---|
| Other Name | PHYSICAL THERAPY DEPARTMENT |
| Entity Type | Organization |
| Authorized Contact | MELANIE L FAYARD Clinic Manager 228-875-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |